Complex Case Mgr, Experience in Maternity, Peds, NICU, or Behavioral a Plus!...
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members identified as having chronic disease processes. Responsible for implementing and coordinating all case management...
View ArticleManager, Case Management (RN) Job (Hazelwood, MO, US)
Description:Manager, Health ServicesHazelwood, MO Location GENERAL SUMMARYResponsible for the daily management of case management programs in the health services area. Serves in an active managerial...
View ArticleBehavioral Health Case Mgr Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of outpatient behavioral health treatments for medical necessity, emergency...
View ArticleTraining & Quality Spec Job (Casselberry, FL, US)
Description:GENERAL SUMMARYResponsible for conducting audits of current processes, reports, and procedures to identify process improvements and issue resolutions. Develops and conducts medical...
View ArticleMedical Review Nurse Job (Moon Township, PA, US)
Description:Job Title: Medical Review Nurse Market Title: Medical Review NurseCoventry Health Care is seeking a Review Nurse in a number of our Service Centers. As a strategic member of the Customer...
View ArticlePre-Authorization Coord Job (Tampa, FL, US)
Description:GENERAL SUMMARYResponsible for implementing and coordinating all utilization management functions relating to preauthorization of outpatient testing/surgery, and inpatient admissions.A...
View ArticleQuality Improvement Nurse (RN/LPN) Job (Metairie, LA, US)
Description:GENERAL SUMMARYResponsible for the research and identification of managed care organization (MCO) quality of care issues to ensure compliance with Coventry’s quality improvement programs as...
View ArticleBehavioral Health Case Manager Job (Louisville, KY, US)
Description:GENERAL SUMMARYProvides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical necessity,...
View ArticleMedical Review Nurse Job (Moon Township, PA, US)
Description:Job Title: Medical Review Nurse Market Title: Medical Review NurseCoventry Health Care is seeking a Review Nurse in a number of our Service Centers. As a strategic member of the Customer...
View ArticleManager, Case Management (RN) Job (Hazelwood, MO, US)
Description:Manager, Health ServicesHazelwood, MO LocationGENERAL SUMMARYResponsible for the daily management of case management programs in the health services area. Serves in an active managerial...
View ArticleVP, Network Mgmt Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the development, negotiation, implementation, management, and financial impact determination of all contracts pertaining to fully insured, Health Plan, PPO,...
View ArticleOutreach Coordinator, Work from Home with Travel to Rockcastle, Pulaski,...
Description:GENERAL SUMMARYCoordinates member outreach to ensure effective use of health plan benefits and to improve member health outcomes within the Medicaid or Medicare population. Responds to...
View ArticleSocial Worker Job (Louisville, KY, US)
Description:GENERAL SUMMARYFunctions as a coordinator of care for members identified as having long-term rehabilitation and/or psychosocial needs as a result of birth defects, chronic conditions,...
View ArticleSIU Investigator Job (Louisville, KY, US)
Description:SIU InvestigatorCoventry Health Care, a $12.2 billion Fortune 500 organization, is a national managed health care company with nearly 5.1 million members in all 50 states. At Coventry...
View ArticleHealth Care Analyst Job (Louisville, KY, US)
Description:GENERAL SUMMARYCollects data and provides analyses for a broad array of issues. Carries out detailed tasks assigned by project teams. May work independently or as a part of a project team....
View ArticleMedical Review Nurse, Medicaid Experience Valuable! Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for reviewing and analyzing information to make medical determinations as necessary. Applies clinical knowledge to assess the medical necessity, level of...
View ArticleObstetrics Complex Case Mgr Job (Louisville, KY, US)
Description:GENERAL SUMMARYFunctions as the central coordinator of care for members primarily with complex pregnancy conditions in select physician practices. Responsible for implementing and...
View ArticleConcurrent Review Coord Job (St. Louis, MO, US)
Description:It’s a great time to put the strength of Coventry Health Care behind your career!Coventry Health Care is a national managed health care company based inBethesda,Maryland providing a full...
View ArticleConcurrent Review Rep Job (Louisville, KY, US)
Description:GENERAL SUMMARYUnder the direct supervision of clinical staff, performs assigned duties including telephonic or fax screening of requests for authorization of services, contacting provider...
View ArticleCredentialing Analyst Job (Louisville, KY, US)
Description:GENERAL SUMMARYResponsible for the daily credentialing/recredentialing process in a health plan or the Credentials Verification Center. Provides staff support to the Credentialing Committee...
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